Evidence map›Paper›PMID 30118506›Full record

ArticlePloS one2018

Utility of including BRAF mutation analysis with ultrasonographic and cytological diagnoses in ultrasonography-guided fine-needle aspiration of thyroid nodules.

Da Som Kim, Dong Wook Kim, Young Jin Heo, Jin Wook Baek, Yoo Jin Lee, Hye Jung Choo, Young Mi Park, Ha Kyoung Park, Tae Kwun Ha, Do Hun Kim and 5 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Molecular Variants and Their Risks for Malignancy in Cytologically Indeterminate Thyroid Nodules.Thyroid : official journal of the American Thyroid Association · 2019
    Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 1 country.

Da Som KimDepartment of Radiology, Busan Paik Hospital, Inje University College of Medicine, Busan, South Korea.
Dong Wook KimDepartment of Radiology, Busan Paik Hospital, Inje University College of Medicine, Busan, South Korea.ORCID 0000-0002-9826-1326
Young Jin HeoDepartment of Radiology, Busan Paik Hospital, Inje University College of Medicine, Busan, South Korea.
Jin Wook BaekDepartment of Radiology, Busan Paik Hospital, Inje University College of Medicine, Busan, South Korea.ORCID 0000-0003-4632-4951
Yoo Jin LeeDepartment of Radiology, Busan Paik Hospital, Inje University College of Medicine, Busan, South Korea.
Hye Jung ChooDepartment of Radiology, Busan Paik Hospital, Inje University College of Medicine, Busan, South Korea.
Young Mi ParkDepartment of Radiology, Busan Paik Hospital, Inje University College of Medicine, Busan, South Korea.
Ha Kyoung ParkDepartment of General Surgery, Busan Paik Hospital, Inje University College of Medicine, Busan, South Korea.
Tae Kwun HaDepartment of General Surgery, Busan Paik Hospital, Inje University College of Medicine, Busan, South Korea.ORCID 0000-0001-7980-3700
Do Hun KimDepartment of Otorhinolaryngology-Head and Neck Surgery, Busan Paik Hospital, Inje University College of Medicine, Busan, South Korea.
Soo Jin JungDepartment of Pathology, Busan Paik Hospital, Inje University College of Medicine, Busan, South Korea.ORCID 0000-0002-9139-701X
Ji Sun ParkDepartment of Nuclear Medicine, Busan Paik Hospital, Inje University College of Medicine, Busan, South Korea.
Ki Jung AhnDepartment of Radiation Oncology, Busan Paik Hospital, Inje University College of Medicine, Busan, South Korea.ORCID 0000-0002-5163-0040
Hye Jin BaekDepartment of Radiology, Gyeongsang National University Changwon Hospital, Gyeongsang National University School of Medicine, Changwon, South Korea.ORCID 0000-0001-7349-2841
Taewoo KangDepartment of Surgery (Busan Cancer Center), Pusan National University Hospital, Pusan National University College of Medicine, Busan, South Korea.ORCID 0000-0002-6279-0904
Inje University Busan Paik Hospital · KRChangwon National University · KRPusan National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study investigated the role of BRAF mutation analysis in thyroid fine-needle aspiration (FNA) samples compared to ultrasonographic and cytological diagnoses. A total 316 patients underwent ultrasonography (US)-guided FNA with BRAFV600E mutation analysis to diagnose thyroid nodules. One hundred sixteen patients with insufficient US images (n = 6), follow-up loss (n = 43), or unknown final diagnosis (n = 67) were excluded from the study. Comparisons between US diagnoses, cytological diagnoses, and BRAF mutation analysis were performed. Of 200 thyroid nodules, there was US diagnosis with 1 false negative and 11 false positive cases, cytological diagnosis with 10 false negative and 2 false positive cases, and BRAFV600E mutation analysis with 19 false negative and 2 false positive cases. The sensitivity, specificity, positive and negative predictive values, and accuracy of BRAFV600E mutation analysis were 83.2%, 98.1%, 97.5%, 86.6%, and 91%, respectively. Of the 18 nodules with Bethesda category III, 9 were true positive, 6 were true negative, 3 was a false negative, and none were false positive on BRAF mutation analysis. In conclusion, we recommend that BRAFV600E mutation analysis only be performed for evaluating thyroid nodules with Bethesda category III, regardless of US diagnosis.

Indexed as

AdolescentAdultAgedAged, 80 and overChildDNA Mutational AnalysisEndoscopic Ultrasound-Guided Fine Needle AspirationFalse Negative ReactionsFemaleHumansMaleMiddle AgedNeoplasm GradingPolymorphism, Single NucleotideProto-Oncogene Proteins B-rafRetrospective StudiesProto-Oncogene Proteins B-raf

Identifiers

PMID30118506
PMCPMC6097667
OpenAlexW2886704216

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.